Manager, Claims Quality Assurance at TAL Life Limited

Sydney, New South Wales, Australia -

Full Time

Start Date

Immediate

Expiry Date

15 Jul, 26

Salary

0.0

Posted On

16 Apr, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Claims quality assurance, Life insurance, Risk management, Compliance, People leadership, Customer service, Policy assessment, Project management, Data analysis, Regulatory knowledge, Claims assessment, Performance monitoring, Stakeholder management, Continuous improvement, Case management

Industry

Insurance

Description

Company Description Help protect over 5 million Australians, making a real difference in their lives during their most challenging times Enjoy work-life balance with flexible working options, and well-being initiatives that prioritise your health 12 month opportunity with the flexibility to work from Melbourne, Sydney or Brisbane offices Welcome to TAL. As a leading life insurer, we’ve been protecting Australians for over 150 years. Backed by Daiichi Life, we're driven by big ambitions and empower to create better products and services. Together with our Partners, we’re helping millions of Australians live a life filled with choices, options, and freedoms. See the direct impact you make delivering support and financial security with care and expertise. Grow beyond expectations with diverse roles, global connections, and exclusive learning opportunities. Work with passionate, bright and capable colleagues. Feel inspired by supportive leaders. Collaborate with heart, where flexibility, wellbeing and inclusivity is valued. Together, we're reimagining insurance. So, bring a curious mind and an ambition to help us become the progressive, digitally enabled leading insurer. Job Description This role is responsible for leading a Claims Quality Assurance team and providing quality assurance in relation to claim assessment in line with the TAL claims quality framework and risk management principles. A key focus of this role is to promote a culture of risk management and continuous improvement by providing risk-based detective controls and insights relating to claim assessment. You may be required to lead the delivery of small to medium scale projects or well-defined tasks on major projects to enable QA remediation or continuous improvement initiatives. In this role you will: Claims Portfolio Ownership: Manage Life Claims with focus on customer service, accurate policy assessment, cost control, and return-to-health outcomes using best-practice strategies. Customer Escalations: Resolve complaints and implement improvements to enhance service quality. Risk & Compliance: Ensure adherence to TAL policies, legislative requirements, industry guidelines, and maintain a strong risk culture. Complex Claims Support: Provide guidance on liability determinations, strategy sign-off, and participate in case conferences for complex claims. Operational Oversight: Allocate daily work, monitor performance, manage resources, and use reporting to ensure service delivery. People Leadership: Recruit, coach, and develop Claims Consultants while driving TAL’s risk culture and customer service standards. Qualifications At least 3-5 years' experience working in claims quality assurance within the Life Insurance or related discipline in Financial Services/Insurance industry (or similar) Demonstrated understanding of life, trauma, Lump Sum (TPD), Disability and Income Protection claims assessment and management requirements. Demonstrated understanding of relevant regulatory and legal obligations impacting Life Insurance claim assessment. Detailed knowledge of Claims processes, regulations and compliance and the ability to translate knowledge and experience into recommendations to add value to the business. Additional Information TAL is one of Australia’s leading life insurers, committed to inclusion, and supporting the career growth of our diverse workforce. We’re proud to be: An Inclusive Employer – Recognised as Employer of Choice for Gender Equality by the Workplace Gender Equality Agency and Bronze Tier Status within the Australian Workplace Equality Index Diversity Champions – Member of Diversity Council Australia, Australian Disability Network, Pride in Diversity and Champions of Change Reconciliation Advocates – Read our Innovate Reconciliation Action Plan. We welcome applications from people with diverse experiences, perspectives and backgrounds including Aboriginal and Torres Strait Islander people, caregivers, individuals living with disabilities, people from culturally diverse backgrounds and the LGBTIQ+ community. Need adjustments during the recruitment process? Let our team know by getting in touch with us here—we’re here to support you. You’re always accountable for your actions. You never give up. You strive to find the best outcomes for customers and partners. And you value working together to find the best solutions for problems. As part of the recruitment process, there are several checks which may be conducted to demonstrate your eligibility for a role at TAL including Criminal History, Bankruptcy, Entitlement to Work, Regulatory and Reference Checks. #LI-Hybrid Everyone at TAL has a responsibility to do the right thing and is accountable for the way they conduct themselves. Our expectations are that you follow the principles set out in our Code of Conduct when you come to work every day. Risk management is everyone’s responsibility. If you are already a TAL employee please apply via the SmartRecruiters button in Workday and navigate to the Employee Portal. This is important to ensure that your application is recorded accurately.

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Responsibilities

The role involves leading a Claims Quality Assurance team to ensure claim assessments align with risk management principles and quality frameworks. Responsibilities include managing claims portfolios, resolving customer escalations, and coaching staff to maintain high service standards.